Body Wisdom Counseling PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.018323 Issued in IL

Legal business name

BODY WISDOM COUNSELING PLLC

Practice address

1502 W Chicago Ave Ste 1
Chicago, IL 60642

Phone

(872) 256-0962

NPI assigned

May 9, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cherish Hamilton-Tekautz, LCSW

Title

Owner

Phone

(872) 256-0962

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1972092476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 W CHICAGO AVE STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606425236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 W CHICAGO AVE STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60642",
            "telephone_number": "872-256-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY WISDOM COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "HAMILTON-TEKAUTZ",
        "authorized_official_first_name": "CHERISH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "872-256-0962",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.018323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Boduch, OTR/L
• Body and Mind Medical
• Body Beyond Chiropractic and Wellness Center, LLC
• Body Peace Nutrition
• Body to Soul, LLC
• Body Within You
• Body Works Health & Wellness LLC
• Bodyup Counseling LLC
• Brittany L Bodziak, DPT
• Audrey Patricia Boe, CRNP

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.